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Chronic fatigue syndrome: a hormonal origin? A rare case of dysmenorrhea membranacea.

Abstract

BACKGROUND

Membranous dysmenorrhea is a rare entity involving expulsion of fragments of endometrium retaining the shape of the uterus. The condition is often linked to high progesterone levels. An association with a chronic fatigue syndrome was never described.

CASE

A 44-year-old woman with a chronic fatigue syndrome (CFS), presented with membranous dysmenorrhea after taking an oral contraceptive pill containing ethinylestradiol 0.02 mg and desogestrel 0.15 mg for 3 months in a continuous regimen as treatment for dysfunctional bleeding. Oral contraception was discontinued and she resumed normal menstruations. Remarkably, she mentioned complete disappearance of the CFS since expulsion of the tissue and started working again.

CONCLUSION

The occurrence of membranous dysmenorrhea with a dissolving chronic fatigue syndrome is very rare and was never described before. This case suggests a hormonal dysfunction as a possible cause of chronic fatigue syndrome. A review of the literature on membranous dysmenorrhea is presented.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Obstetrics and Gynaecology, University Hospital Gasthuisberg, Catholic University Leuven, Louvain, Belgium.

    ,

    Source

    Archives of gynecology and obstetrics 279:5 2009 May pg 717-20

    MeSH

    Adult
    Contraceptives, Oral, Hormonal
    Desogestrel
    Dysmenorrhea
    Ethinyl Estradiol
    Fatigue Syndrome, Chronic
    Female
    Humans
    Metrorrhagia
    Remission, Spontaneous

    Pub Type(s)

    Case Reports
    Journal Article
    Review

    Language

    eng

    PubMed ID

    18787800

    Citation

    Veldman, Joan, et al. "Chronic Fatigue Syndrome: a Hormonal Origin? a Rare Case of Dysmenorrhea Membranacea." Archives of Gynecology and Obstetrics, vol. 279, no. 5, 2009, pp. 717-20.
    Veldman J, Van Houdenhove B, Verguts J. Chronic fatigue syndrome: a hormonal origin? A rare case of dysmenorrhea membranacea. Arch Gynecol Obstet. 2009;279(5):717-20.
    Veldman, J., Van Houdenhove, B., & Verguts, J. (2009). Chronic fatigue syndrome: a hormonal origin? A rare case of dysmenorrhea membranacea. Archives of Gynecology and Obstetrics, 279(5), pp. 717-20. doi:10.1007/s00404-008-0795-0.
    Veldman J, Van Houdenhove B, Verguts J. Chronic Fatigue Syndrome: a Hormonal Origin? a Rare Case of Dysmenorrhea Membranacea. Arch Gynecol Obstet. 2009;279(5):717-20. PubMed PMID: 18787800.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Chronic fatigue syndrome: a hormonal origin? A rare case of dysmenorrhea membranacea. AU - Veldman,Joan, AU - Van Houdenhove,Boudewijn, AU - Verguts,Jasper, Y1 - 2008/09/12/ PY - 2008/05/20/received PY - 2008/08/28/accepted PY - 2008/9/13/pubmed PY - 2009/6/16/medline PY - 2008/9/13/entrez SP - 717 EP - 20 JF - Archives of gynecology and obstetrics JO - Arch. Gynecol. Obstet. VL - 279 IS - 5 N2 - BACKGROUND: Membranous dysmenorrhea is a rare entity involving expulsion of fragments of endometrium retaining the shape of the uterus. The condition is often linked to high progesterone levels. An association with a chronic fatigue syndrome was never described. CASE: A 44-year-old woman with a chronic fatigue syndrome (CFS), presented with membranous dysmenorrhea after taking an oral contraceptive pill containing ethinylestradiol 0.02 mg and desogestrel 0.15 mg for 3 months in a continuous regimen as treatment for dysfunctional bleeding. Oral contraception was discontinued and she resumed normal menstruations. Remarkably, she mentioned complete disappearance of the CFS since expulsion of the tissue and started working again. CONCLUSION: The occurrence of membranous dysmenorrhea with a dissolving chronic fatigue syndrome is very rare and was never described before. This case suggests a hormonal dysfunction as a possible cause of chronic fatigue syndrome. A review of the literature on membranous dysmenorrhea is presented. SN - 1432-0711 UR - https://www.unboundmedicine.com/medline/citation/18787800/Chronic_fatigue_syndrome:_a_hormonal_origin_A_rare_case_of_dysmenorrhea_membranacea_ L2 - https://dx.doi.org/10.1007/s00404-008-0795-0 DB - PRIME DP - Unbound Medicine ER -